Should you be worried if your third-party administrator's (TPA’s) licence gets suspended? That is the question currently worrying many health insurance customers in the wake of the developments surrounding E-Meditek.
First, let us recap briefly what has happened. The Insurance Regulatory and Development Authority of India (Irdai) received a whistle-blower's complaint against E-Meditek, a TPA. Upon inspecting its books, the regulator found several irregularities. It then suspended E-Meditek's certificate of registration. Subsequently, the Securities Appellate Tribunal (SAT) stayed Irdai's order and asked it to give E-Meditek a hearing before passing its final order.
A TPA has two main
First, let us recap briefly what has happened. The Insurance Regulatory and Development Authority of India (Irdai) received a whistle-blower's complaint against E-Meditek, a TPA. Upon inspecting its books, the regulator found several irregularities. It then suspended E-Meditek's certificate of registration. Subsequently, the Securities Appellate Tribunal (SAT) stayed Irdai's order and asked it to give E-Meditek a hearing before passing its final order.
A TPA has two main